Peripheral Arterial Disease, PAD, is a condition where the arteries that supply blood to your limbs become narrowed or blocked due to plaque, a buildup of fatty deposits. Due to reduced blood flow, symptoms such as leg pain, cramping, and fatigue may develop, particularly during physical activities like walking. PAD is both an uncomfortable and serious condition, as it can lead to more severe complications, including infections, sores that won't heal, and even an increased risk of amputation, if not treated properly. Early diagnosis and management are essential to improving blood flow, relieving symptoms, and protecting your overall limb health. If you notice these symptoms, it is suggested you meet with a podiatrist to discuss the best plan to improve and maintain your foot health.  

Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, consult with Scott Samera, DPM from Samera / Foot + Ankle. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.

Symptoms

Symptoms of PAD include:

• Claudication (leg pain from walking)
• Numbness in legs
• Decrease in growth of leg hair and toenails
• Paleness of the skin
• Erectile dysfunction
• Sores and wounds on legs and feet that won’t heal
• Coldness in one leg

It is important to note that a majority of individuals never show any symptoms of PAD.

Diagnosis

While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.

Treatment

Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.

If you have any questions, please feel free to contact our office located in Lake City and Branford, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

For ballet dancers, strong and flexible feet are essential for mastering intricate movements with precision and grace. Various foot stretches and exercises can help strengthen the muscles and improve the articulation of the feet. Using a hair elastic around the toes to create resistance while pointing and flexing helps develop intrinsic foot muscles. Thera bands provide resistance for exercises such as ankle dorsiflexion and plantarflexion, enhancing ankle stability and strength. Towel scrunches, where dancers use their toes to gather a hand towel, target the muscles of the feet and toes. Practicing tennis ball massages can alleviate tension and promote flexibility in the arches. Exercises like doming, toe teasers, and piano toes engage different foot muscles, enhancing overall strength and control. If you have injured your foot due to ballet moves, it is suggested that you visit a podiatrist who can offer appropriate treatment and guide you toward additional stretching techniques.

Stretching the feet is a great way to prevent injuries. If you have any concerns with your feet consult with Scott Samera, DPM from Samera / Foot + Ankle. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Stretching the Feet

Stretching the muscles in the foot is an important part in any physical activity. Feet that are tight can lead to less flexibility and make you more prone to injury. One of the most common forms of foot pain, plantar fasciitis, can be stretched out to help ease the pain. Stretching can not only ease pain from plantar fasciitis but also prevent it as well. However, it is important to see a podiatrist first if stretching is right for you. Podiatrists can also recommend other ways to stretch your feet. Once you know whether stretching is right for you, here are some excellent stretches you can do.

• Using a foam roller or any cylindrical object (a water bottle or soda can will do), roll the object under your foot back and forth. You should also exert pressure on the object. Be sure to do this to both feet for a minute. Do this exercise three times each.
• Similar to the previous one, take a ball, such as a tennis ball, and roll it under your foot while seated and exert pressure on it.
• Grab a resistance band or towel and take a seat. If you are using a towel, fold it length wise. Next put either one between the ball of your foot and heel and pull with both hands on each side towards you. Hold this for 15 seconds and then switch feet. Do this three times for each foot.
• Finally hold your big toe while crossing one leg over the other. Pull the toe towards you and hold for 15 seconds. Once again do this three times per foot.

It is best to go easy when first stretching your foot and work your way up. If your foot starts hurting, stop exercising and ice and rest the foot. It is advised to then see a podiatrist for help.

If you have any questions, please feel free to contact our office located in Lake City and Branford, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Podiatrists are medical professionals specializing in the diagnosis, treatment, and prevention of conditions affecting the feet, ankles, and lower limbs. These doctors play a critical role in maintaining foot health and addressing a wide range of foot-related issues. Podiatrists treat various conditions, including ingrown toenails, plantar fasciitis, and bunions, in addition to corns, calluses, heel pain, and foot deformities. During an appointment with a podiatrist, patients can expect a thorough examination of their feet, ankles, and lower legs to assess their condition and identify any underlying issues. Depending on the diagnosis, treatment options may include custom orthotic devices, medication, or minimally invasive procedures. Podiatrists also provide guidance on proper foot care, footwear selection, and preventive measures to promote overall foot health and prevent future problems. With their specialized knowledge and expertise, podiatrists help patients maintain mobility, alleviate discomfort, and achieve optimal foot function. If you are experiencing any type of foot or ankle pain, it is strongly suggested that you visit a podiatrist who can make an accurate diagnosis and provide the necessary treatment.

If you are dealing with pain in your feet and ankles, you may want to seek help from a podiatrist. Feel free to contact Scott Samera, DPM from Samera / Foot + Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is a Podiatrist?

A podiatrist is a doctor of podiatric medicine who diagnoses and treats conditions of the foot, ankle, and related structures of the leg. Your podiatrist may specialize in a certain field such as sports medicine, wound care, pediatrics, and diabetic care. Podiatrists have the ability to become board certified through training, clinical experience, and then taking an exam.

What Do Podiatrists Do?

On a daily basis, a podiatrist may perform the following activities:

• Diagnose foot ailments such as ulcers, tumors, fractures, etc.
• Use innovative methods to treat conditions
• Use corrective orthotics, casts, and strappings to correct deformities
• Correct walking patterns and balance
• Provide individual consultations to patients

It is very important that you take care of your feet. It’s easy to take having healthy feet for granted, however foot problems tend to be among the most common health conditions. Podiatrists can help diagnose and treat a variety of feet related conditions, so it is crucial that you visit one if you need assistance.

If you have any questions please feel free to contact our office located in Lake City and Branford, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Diabetic foot ulcers are open sores or wounds that develop on the feet of individuals with diabetes. Ulcers may arise due to poor blood circulation, nerve damage known as neuropathy, and high blood sugar levels, which impair the body's ability to heal. Symptoms include redness, swelling, and drainage from the ulcer, and they may become infected if not properly treated. Some risk factors for diabetic foot ulcers are prolonged diabetes, poor glycemic control, smoking, and wearing inappropriate footwear. Additionally, foot deformities and a history of foot ulcers or amputation increase the likelihood of developing these sores. Treatment involves keeping the ulcer clean and covered, managing blood glucose levels, and taking antibiotics to prevent or treat infection. A podiatrist plays a crucial role in managing and preventing diabetic foot ulcers. They can provide routine foot care, recommend proper footwear, and offer guidance on foot hygiene. If you have diabetes and notice any foot abnormalities, it is strongly suggested that you schedule an appointment with a podiatrist to prevent complications.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with Scott Samera, DPM from Samera / Foot + Ankle. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

If you have any questions, please feel free to contact our office located in Lake City and Branford, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Circulation refers to the movement of blood throughout the body, delivering oxygen and nutrients to tissues while removing waste products. Poor circulation in the feet can lead to various problems and is often caused by conditions such as peripheral artery disease, diabetes, obesity, and prolonged inactivity. Smoking and a sedentary lifestyle also contribute to reduced blood flow. Symptoms of poor circulation in the feet include numbness, tingling, cold feet, swelling, cramping, and skin discoloration. If left untreated, these issues can lead to more severe complications like ulcers, infections, and, in extreme cases, gangrene. Improving circulation involves lifestyle changes such as regular exercise, maintaining a healthy weight, quitting smoking, and eating a balanced diet rich in fruits, vegetables, and whole grains. Wearing compression stockings and elevating the feet can also help. If you have trouble with poor circulation in your feet, it is suggested that you consult a podiatrist for personalized advice and effective treatment options.

Poor circulation is a serious condition and needs immediate medical attention. If you have any concerns with poor circulation in your feet contact Scott Samera, DPM of Samera / Foot + Ankle. Our doctor will treat your foot and ankle needs.

Poor Circulation in the Feet

Poor blood circulation in the feet and legs is can be caused by peripheral artery disease (PAD), which is the result of a buildup of plaque in the arteries.

Plaque buildup or atherosclerosis results from excess calcium and cholesterol in the bloodstream. This can restrict the amount of blood which can flow through the arteries. Poor blood circulation in the feet and legs are sometimes caused by inflammation in the blood vessels, known as vasculitis.

Causes

Lack of oxygen and oxygen from poor blood circulation restricts muscle growth and development. It can also cause:

• Muscle pain, stiffness, or weakness   
• Numbness or cramping in the legs 
• Skin discoloration
• Slower nail & hair growth
• Erectile dysfunction

Those who have diabetes or smoke are at greatest risk for poor circulation, as are those who are over 50. If you have poor circulation in the feet and legs it may be caused by PAD and is important to make changes to your lifestyle in order to reduce risk of getting a heart attack or stroke. Exercise and maintaining a healthy lifestyle will dramatically improve conditions.

As always, see a podiatrist as he or she will assist in finding a regimen that suits you. A podiatrist can also prescribe you any needed medication. 

If you have any questions please feel free to contact our office located in Lake City and Branford, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Pickleball, a rapidly growing sport appealing to all ages and skill levels, combines elements of tennis, badminton, and ping pong. Played on a smaller court with a solid paddle and a perforated plastic ball, it is enjoyed for its simplicity and social aspect. However, like many physical activities, pickleball can pose risks to foot health. Injuries to the feet during pickleball commonly result from strain or overuse due to sudden movements, pivoting, and repetitive footwork. Such injuries may include sprains, strains, and stress fractures. To prevent foot injuries while playing pickleball, it is important to stay active, stretch before and after playing, and engage in other physical activities to maintain overall fitness and foot strength. Additionally, staying hydrated by drinking water helps to prevent muscle cramps and fatigue. If you have persistent foot pain or injuries from playing pickleball, it is suggested that you see a podiatrist. A foot doctor can offer guidance on injury prevention techniques and provide treatment to alleviate discomfort and promote foot health.

Ankle and foot injuries are common among athletes and in many sports. They can be caused by several problems and may be potentially serious. If you are feeling pain or think you were injured in a sporting event or when exercising, consult with Scott Samera, DPM from Samera / Foot + Ankle. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Common Injuries

The most common injuries that occur in sporting activities include:

• Achilles Tendonitis
• Achilles Tendon Rupture
• Ankle Sprains
• Broken Foot
• Plantar Fasciitis
• Stress Fractures
• Turf Toe

Symptoms

Symptoms vary depending upon the injury and in some cases, there may be no symptoms at all. However, in most cases, some form of symptom is experienced. Pain, aching, burning, bruising, tenderness, tightness or stiffness, sensation loss, difficulty moving, and swelling are the most common symptoms.

Treatment

Just as symptoms vary depending upon the injury, so do treatment options. A common treatment method is known as the RICE method. This method involves rest, applying ice, compression and elevating the afflicted foot or ankle. If the injury appears to be more serious, surgery might be required, such as arthroscopic or reconstructive surgery. Lastly, rehabilitation or therapy might be needed to gain full functionality in the afflicted area. Any discomfort experienced by an athlete must be evaluated by a licensed, reputable medical professional.  

If you have any questions, please feel free to contact our office located in Lake City and Branford, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Plantar fasciitis surgery is a treatment option for individuals who have not found relief from conservative measures and continue to experience severe and debilitating heel pain. The surgery typically involves releasing or removing a portion of the plantar fascia to alleviate tension and reduce inflammation. This procedure aims to provide long-term pain relief and restore normal foot function. Success rates of plantar fasciitis surgery vary depending on various factors, such as the patient's overall health, the severity of the condition, and the specific surgical technique used. While many patients experience significant improvement in symptoms and quality of life following surgery, it is essential to understand that success is not guaranteed, and there are risks associated with any surgical procedure. If you have this condition and are considering surgery, it is strongly suggested that you speak with your podiatrist who can guide you toward making an informed decision. 

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Scott Samera, DPM of Samera / Foot + Ankle. Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

• Removing foot deformities like bunions and bone spurs
• Severe arthritis that has caused bone issues
• Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

• Bunionectomy for painful bunions
• Surgical fusion for realignment of bones
• Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

If you have any questions please feel free to contact our office located in Lake City and Branford, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

The cuboid bone, a vital component of your foot's structure, often remains unnoticed until a problem arises. The cuboid bone is located on the outer side of the foot, just in front of the heel. It plays a significant role in mobility, aiding in pointing the foot downward and supporting lateral movement. An injury of this bone can lead to cuboid syndrome, which is a partial dislocation at the joint between the heel and the cuboid. Symptoms may include metatarsal pain, lateral ankle instability, hammertoes, or plantar fasciitis. If left untreated, these symptoms can escalate into more severe conditions, such as ankle arthritis or stress fractures. Treatment options involve padding and a manipulation technique to realign the bone. For cuboid fractures, patients may need to refrain from weight-bearing activities for a period of time, followed by a transition to a walking boot. Where conservative methods fail, surgical intervention may be used to stabilize the bone and restore its function, ensuring a quicker recovery. If you are experiencing symptoms of a lateral foot injury, it may involve the cuboid bone. It is suggested that you schedule an appointment with a podiatrist for a thorough exam and indicated treatment options.

Cuboid syndrome, also known as cuboid subluxation, occurs when the joints and ligaments near the cuboid bone in the foot become torn. If you have cuboid syndrome, consult with Scott Samera, DPM from Samera / Foot + Ankle. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Cuboid syndrome is a common cause of lateral foot pain, which is pain on the outside of the foot. The condition may happen suddenly due to an ankle sprain, or it may develop slowly overtime from repetitive tension through the bone and surrounding structures.

Causes

The most common causes of cuboid syndrome include:

• Injury – The most common cause of this ailment is an ankle sprain.
• Repetitive Strain – Tension placed through the peroneus longus muscle from repetitive activities such as jumping and running may cause excessive traction on the bone causing it to sublux.
• Altered Foot Biomechanics – Most people suffering from cuboid subluxation have flat feet.

Symptoms

A common symptom of cuboid syndrome is pain along the outside of the foot which can be felt in the ankle and toes. This pain may create walking difficulties and may cause those with the condition to walk with a limp.

Diagnosis

Diagnosis of cuboid syndrome is often difficult, and it is often misdiagnosed. X-rays, MRIs and CT scans often fail to properly show the cuboid subluxation. Although there isn’t a specific test used to diagnose cuboid syndrome, your podiatrist will usually check if pain is felt while pressing firmly on the cuboid bone of your foot.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are ice therapy, rest, exercise, taping, and orthotics.

If you have any questions, please feel free to contact our office located in Lake City and Branford, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.